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Based on your history above I would be suspicious that you may have trouble with chronic or recurrent prostatitis ...the prostate if enlarged / infected / tender --- may well lead to pain with having a BM as symptom and may relate to your chronic pelvic pain ...
I recommend that you seek further evaluation by a urologist
A digital rectal exam go to check your prostate and then a urinalysis may be very helpful here
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Thank you and Best Regards,
Anthony Bray MD
Yes that could be related ...the rectum is adjacent to the posterior aspect of the prostate ...a sense of incomplete evacuation COULD relate to prostate inflammation ....
Rectal wall issues could be behind this symptom as possible too ...